| NPI | 1720260862 |
|---|---|
| Other Name | DEVEREUX GEORGIA TREATMENT NETWORK |
| Entity Type | Organization |
| Authorized Contact | MARIO BOLIVAR Executive Director 687-303-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |